Culture, perspectives and public reporting

Professor Russell Mannion has contributed to two recent articles relating to patient and public focused healthcare - for which there has been growing interest from policy makers, practitioners and academics, particularly in the wake of recent high-profile failures in clinical practice. The first article, published in the Jornal of Evaluation in Clinical PracticeI, concerns a comparison between professional and patient perspectives of the organisational cultural attributes considered as important for high-quality, safe clinical care. The article was written in conjunction with colleagues from York and Dundee and Aberdeen Universities and reflects the growing need for the greater involvement of patients in the design and evaluation of local organisational change management programmes.

The second article is a short opinion piece which raises doubts over the value of public reporting of performance data. Written in conjunction with Professor Jeffrey Braithwaite, of the University of New South Wales, Sydney, Australia and published in the Medical Journal of Australia, the article poses the questions: What data should be measured and how, and from whose perspective? The article also points out the technical issues involved  such as data quality and standardisation and other issues regarding timing and attribution. The authors also point out that performance measurement systems often have little impact on changing behaviour or improving performance.

The articles

Understanding culture and culture management in the English NHS: a comparison of professional and patient perspectives, Journal of Evaluation in Clinical Practice (pdf; opens in new window)

Government plans for public reporting of performance data in health care: the case against, Medical Journal of Australia (pdf; opens in new window)